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Summary

There is an undeniable link between one's state of mind and the ability to recover from heart attacks and other coronary events. Cowritten by a psychiatrist and a cardiologist, this book examines both the medical and psychological ramifications of coronary heart disease, providing specific physical, mental, and emotional strategies for recovery.

Author Biography

Brian Baker, M.B.Ch.B., is a psychiatrist at the Toronto Hospital in Toronto, Canada Paul Dorian, M.D., M.Sc., is a cardiologist at St. Michael's Hospital in Toronto, Canada

Table of Contents

A Note to the Reader

xi

Acknowledgments

xiii

Foreword

xv

Preparing for the Journey: About This Book and How to Use It

Why did we write this book?

1

(2)

Who is our intended reader?

3

(1)

How is this book different from other books on heart disease?

4

(7)

PART ONE: THE GUIDE

Guide to the Journey: An Introduction

What you need to know about ``The Guide''

11

(5)

Forum (Tony): Does awareness help?

16

(5)

Event

What's wrong with Anna?

21

(1)

What happened?

22

(2)

What, in fact, happened to my heart?

24

(3)

What happened to me?!

27

(4)

What to expect

31

(1)

Forum (Anna): Dealing with the event

32

(6)

Aftermath

Rose is lost

38

(1)

Where am I?

39

(1)

Where am I medically?

40

(3)

Where am I emotionally?

43

(2)

Family concerns

45

(2)

Forum (Rose): Lost and found

47

(5)

Recuperation

Is Mary healing?

52

(2)

The body heals

54

(9)

The mind reacts

63

(9)

Family matters

72

(1)

Achieving a balance

73

(5)

Forum (Mary): Finding the path of healing

78

(7)

Rehabilitation

What can Joe do?

85

(3)

An approach to rehabilitation

88

(3)

The fork in the road

91

(1)

The importance of adaptive denial

92

(1)

The magic of empowerment

93

(1)

The secret of empowerment: Structured activity

94

(3)

Can I prevent my CAD from recurring or progressing?

97

(1)

Family concerns

98

(2)

A guide to the rehab programs

100

(12)

Slippage

112

(1)

Forum (Joe): Getting into gear

113

(8)

Recovery

Has Kevin recovered?

121

(2)

Home at last

123

(1)

Can I recover from CAD?

123

(2)

What is realistic recovery?

125

(2)

What do I still need to do?

127

(2)

The challenge of maintenance

129

(1)

Family note

130

(1)

Keeping a balance

131

(3)

Forum (Kevin): Looking back and looking forward

134

(11)

PART TWO: DIRECTIONS

What You Need to Know about ``Directions'': An Introduction

145

(144)

Heart: Key Physical Issues for Those with Heart Disease

What is heart disease?

149

(9)

What to do in an emergency

158

(2)

What happens when you go to the hospital?

160

(2)

Tests often performed on patients with heart disease

162

(5)

Surgical procedures often performed on patients with heart disease

167

(2)

Medications often prescribed for patients with heart disease

169

(12)

Your team of professionals

181

(3)

Medical research

184

(4)

Risk factors for coronary heart disease

188

(15)

Women and heart disease

203

(3)

Mind: Key Emotional Issues for Those with Heart Disease

Anxiety

206

(4)

Depression

210

(6)

Stress and CAD

216

(3)

Stress management and the seven vulnerabilities

219

(18)

Stress and heart disease: A patient's personal view

237

(5)

When to seek counseling, and from whom

242

(3)

Psychiatric emergency

245

(1)

Heart to Mind: Three Dialogues between Cardiology and Psychiatry about the Journey to Recovery